Oesophageal Varices Flashcards
1
Q
What are the likely findings on history/exam in a patient with bleeding oesophageal varices?
A
- EtOH abuse
- Jaundice
- Encephalopathy
- Haematemesis
- Melaena
- Stigmata of chronic liver disease
2
Q
What might be the investigative trail in a patient with variceal bleeding?
A
- FBE
- LFTs
- UEC
- Endoscopy
3
Q
How might a patient with oesophageal varices be managed?
A
- Acute management of bleeding varices
- Fluid resuscitation, vasopressors (terlipressin/octreotide), prophylactic antibiotics (norfloxacin), endoscopic ligation/sclerotheray
- Balloon tamponade/TIPS (hepato-portal shunt creation)
- Management of non-bleeding varices
- Beta-blockers (propranolol), monitoring, ligation
